HomeMy WebLinkAboutDrain Layers Permit 129 Brook Street TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No. 7075 Contractor SILVESTER VIOLETTE & SONS
Location 0129 BROOK STREET
Ad
dress
65 CHERRY
STREET
Type Work NEW SAN LAT
EAST HARTFORD CT 06108
P one,,,No. (860)289-3466
Date Insp Needed �6! D° i;e zns �a
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Time Insp Needed ��" 7�me 'Insp.° d-� i47,
Inspected By � � i ��,�
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Work in Progress
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Input Date
Pemit No. 7075 Town of South Windsor, CT
Permit Date 10/18/1,999 Drain Layer Permit
Expiration Date. 11/17/1999
Descrip: CKS 1373, 21889
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Applicant .. Location
Name SILVESTSR VIOLETTE & SANS Aid r ;� 0429 BROOK STREET
Addr. 65 CHERRY STREET , -Owner ASELTON JONATHAN A
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EAST HARTFORD CT,A064 6 3
Phone No. (860)289-3466 , ` :.
The Drain Layer al -1grtei this �tr t has �"jd 1" cense issued by the
state and hereby agres' t'0: tf e e � and `c rt �tiops set forth i n the
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attached 'Conditions' q 1 k, s tle.� n alto€r�lnc with Town of South
Windsor sta da ds, a 1 1 "4Sequxfil@nt$;, and h0 attached conditions.
Issued By
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nspe
Date Inspe to 0 �/ 9 a I � d By
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TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERAL FIELD LOCATION
DATE OF CONSTRUCTION- °Z--�/9'�
BUILDING ADDRESS 1 .`'►
STREET
SUBDIVISION:
NORTH ARROW
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7-7
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CONTRACTOR (PRINT) NAME OF CONTRACTOR'S SUPERVISOR (PRINT)
STREET ADDRESS 1 SIG ;
� ' . o r , �/ z DATE
'TOWN �`� ATE ZIP INSPEC fD WN
DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT �O 7
- TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
Location of proposed work: q r v e> are e_-f- Lot #
Street No. Street Name
Premises owned by: w h r) r4 S e_ I +c- -h
Name of Firm: V i d l te e, 's i I V e-s+e r ,t-SKS .Phone:
Address of Firm: (0 e-r r y
TYPE OF WORK:
Lay House Drain ✓ ; Repair House Drain ,
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Connection will be made with �! V
Proposed Start.Date lea R Estimated time for completion t v a g
ALL WORK TO BE IN ACCORDANCE WITH.TOWN OF SOUTH WINDSOR STANDARDS,
ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT
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Permit is to be issued to V;o tg;- ei l ye-e,4-er q $mLxc_the holder of Drain
Layer's License No. Db Only holders of P1, P7 &W9 licenses will
be issued a permit. Permit will expire thirty (30) days after date of issuance. The
undersigned Drain Layer hereby agrees to all the terms and conditions set forth in
the permit and attached thereto. Applicant has received Town Street Excavation
Permit No. and/or ConnDOT Permit No.
MTD4 099 4 .,_44
Signed. Print Name:1A ) i l I I a►� St t yi, erStr.
Licensed Drain Layer
Date:
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc